Organization
D PAVELKA REPRODUCTIVE ASSOCIATES, PA
Active
Organization
D PAVELKA REPRODUCTIVE ASSOCIATES, PA
Active
Other names
Pavelka Reproductive Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE S SCOTT (OFFICE COORDINATOR)
(763) 783-8155
Entity
Organization
Contact information
Practice address
500 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2768
(763) 783-8155
(763) 783-1373
Mailing address
500 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2768
(763) 783-8155
(763) 783-1373
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
27008
MN
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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